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Page 3 of 3 <br />13. Is weed control being coined in accordance with an approved Weed Control Plan? <br />YES <br />NO <br />(@�A <br />If "YES", indicate the weed , species, control area, control type, application rate and treatummt date on <br />the report map. <br />14. Is adequate topsoil reserved for reclamation, based on your approved permit? <br />YES <br />NO <br />N/A <br />If "NO". please explain: <br />Fax Number: <br />15. Is the reserved topsoil vegdated/stabilized in accordance: with Rule 3 .1.9(1)? <br />YES <br />NO <br />N/A <br />If "NO" please explain: <br />16. If mining has exposed gro ondaater, is the site in compliance with the approved muning plan and Office of the S <br />A <br />FngWeer (Well Permit, S.W.S.P., and/c r P Augmentation Plan)? <br />YES <br />NO <br />17. Are all hazardous materials stored within approved spill containment structures? <br />NO <br />N/A <br />18. U your financial warranty value sufficiedt: to cover the cost to complete-reclamation? <br />- E—S <br />NO <br />N/A <br />19. Is your basis fur legal right to eater still valid? - - - <br />NO <br />20. Does your permit require YOU to submit monitoring information annually? <br />® <br />NO <br />N/A <br />N "Yes ", please attach the requhed monitoring resulta to this Annual Report. <br />21. As required by Colorado Mined Land Reclamation Act and/or Colorado Land Reclamation Act for the Extraction of <br />Construction Materials (CJ LS. 3442 -116 or 34325 -116), attach a map to this-report that acutely depicts-the <br />permit boundary, ctn affected area boundary and location of the acreages specified in items 7 -12 and 14. <br />UPDATED MAP ATTACHED: YAS <br />Division records indicate the following permittoe contact information. If this information is not cunirat, please type or <br />print currrest-contact information: <br />Permittee Coact: <br />Travis Sagan <br />Perniittee Cody: <br />Salw Excavation,1W <br />Address: <br />— -- - - <br />Out � Road <br />P.O. Box I IJ03 <br />-Ounce C0- SIa4ZL -- <br />_ <br />- <br />Phone Nom: <br />(970) 325 -0459 <br />Fax Number: <br />Email Address: <br />CF.PR.email <br />1, the undersipmd, hereby sta rlhat the information provided in this report is true and sewrate, and that site operations are <br />being conducted in accordanw.with the Division apprav ring and reclamation�plans. <br />5ignaturre of Permute Cormorate oH`acei: Owner- or-Do De ianee <br />j���5 - <br />Date <br />